The nurse is preparing to administer a Mini-Mental Status Examination (MMSE) on a 75-year-old patient admitted for clinical depression. What is the nurse's primary intervention for this specific patient?
1. Make sure the patient is not hungry or in pain when taking the test.
2. Repeat the instructions just prior to beginning the assessment.
3. Arrange for the patient to be uninterrupted during the test.
4. Plan for the test when the patient will not be rushed to complete it.
4
Rationale 1: Addressing hunger and pain issues are interventions that are appropriate for any patient, regardless of age.
Rationale 2: Repeating the instructions is an intervention appropriate for any patient, regardless of age.
Rationale 3: Arranging for uninterrupted teaching time is an intervention appropriate for any patient, regardless of age.
Rationale 4: Planning for the test when the patient will not be rushed to complete it is particularly important because of the elderly patient's decreased processing speed. The older patient should be given adequate time to respond to the examination items.
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Change to a
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